Carpal coalition and metacarpal synostosis are uncommon congenital anomalies of the carpus and hand. A comprehensive review of the literature was performed to help guide surgical and non-surgical treatment of carpal coalition and metacarpal synostosis. The embryology, epidemiology, medical and surgical management, and associated outcomes are detailed. Most patients with these disorders will likely benefit from conservative measures. Surgery should be considered in patients with pain and limitations in wrist and hand function.
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http://dx.doi.org/10.1177/1558944715614860 | DOI Listing |
Hand Surg Rehabil
January 2025
Service de Chirurgie Orthopédique et Traumatologique Membre Supérieur - SOS Main, Hôpital Edouard HERRIOT, Lyon, France.
Iran J Public Health
June 2024
Surgical Research Center, Department of Surgery, University of Connecticut Health Center, Farmington, CT, USA.
Background: Bone Morphogenetic Proteins and the related Growth and Differentiation Factors (GDFs) are much conserved signaling proteins. GDF5 is pivotal for skeletal development. Several skeletal dysplasia and malformation syndromes are known as a result of mutations in .
View Article and Find Full Text PDFArch Orthop Trauma Surg
September 2024
Hand Surgery, SRO AG Spital Region Oberaargau, St. Urbanstrasse 67, Langenthal, 4900, Schweiz.
Carpal coalitions are rare wrist anomalies and are most often diagnosed incidentally. Due to their infrequent occurrence, there is a lack of treatment guidelines in the literature. We present a case study of a 13-year-old boy who presented with symptomatic synchondrosis in both scaphoids along with a bilateral osseous coalition between the scaphoid and trapezium bones in combination with bilateral thumb hypoplasia.
View Article and Find Full Text PDFJ Hand Surg Asian Pac Vol
October 2024
Department of Orthopaedic Surgery, Nara Medical University, Nara, Japan.
We describe a 13-year-old boy with piso-hamate coalition confirmed by X-ray. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed type 1 coalition according to the classification of DeVilliers Minnaar. Piso-hamate coalition is rare, and suspicions should be raised in instances of chronic ulnar-sided wrist pain, particularly in individuals with a history of elevated hand usage, especially amongst athletes engaging in intensive hand grip activities.
View Article and Find Full Text PDFJ Orthop Case Rep
May 2024
Department of Orthopaedics, Government Medical College, Patiala, Punjab, India.
Introduction: Coalition is an abnormal, usually congenital, or developmental connection in between or the complete fusion of two bones that are otherwise separate. It is of three types, i.e.
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